Revenue Integrity Analyst – University Physicians

University of Missouri-Columbia; Columbia Township (MO); Remote; USD 59,000 - 97,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Retirement plan

Paid time off

Disability insurance

Parental leave

Educational discounts

Job summary

The University of Missouri-Columbia seeks a Revenue Integrity Analyst to monitor CPT/HCPCS changes, ensure accurate revenue codes, and drive compliance with billing guidelines.

In this role you will perform revenue integrity reviews, develop tracking tools, and present findings to action owners while coordinating regular reviews with assigned divisions to identify leakage and opportunities for reimbursement optimization.

Qualifications

• Bachelor’s degree in business, healthcare, or related field.
• Three years of experience in healthcare revenue cycle, coding, clinical, or related field.

Responsibilities

• Monitor revenue departments’ adherence to charge reconciliation processes and metrics.
• Review changes in CPT®, HCPCS, and revenue codes for accuracy and compliance.
• Perform revenue integrity reviews and present findings for corrective action.
• Develop tools to track and identify potential areas of lost revenue.
• Plan and conduct regular meetings with divisions to review KPIs and discuss revenue leakage.

Skills

Bachelor's degree in business, healthc

3 years experience in healthcare rev.

Education

Bachelor's degree

Job description

Hiring Department

University Physicians, Plan Administration

Job Description

Monitor revenue departments’ adherence to charge reconciliation processes and metrics measured by key performance indicators. Review changes in CPT®, HCPCS, and revenue codes for accuracy, compliance with applicable billing guidelines, and optimization of reimbursement. Perform revenue integrity reviews and present findings for corrective action – these are reviews of a specific topic with a focus on documentation and coding requirements. Serve as a resource for organizational and operational matters related to revenue integrity issues. Monitor, investigate, and resolve revenue integrity concerns and opportunities reported in their area and provide any necessary follow‑up. Develop tools to track and identify potential areas of lost revenue. Plan and conduct regular meetings with assigned Divisions to review key performance indicators and discuss potential revenue leakage and performance improvement opportunities.

Eligible to work four ten hour shifts or five eight hour shifts.

This position is eligible for the University Physicians work from home program

Shift

Monday – Friday 8-5

Minimum Qualifications

Bachelor’s degree in business, healthcare, or a related field or an equivalent combination of education and experience from which comparable knowledge, skills, and abilities can be acquired.

Three (3) years of experience in healthcare revenue cycle, coding, clinical, or a related field.

Preferred Qualifications

Years of Experience: Experience in HC, preferably 5+ years, but not required.

Additional Training: Knowledge of CPT-HCPCS, third party reimbursement methodologies, and revenue cycle process. Knowledge of inpatient and outpatient billing requirements, coding guidelines and CMS Medicare reimbursement methodology. Excellent communication and interpersonal skills with the ability to effectively interpret, communicate and educate others. Strong quantitative, analytical and organizational skills. Ability to respond to complex inquiries in a professional and efficient manner.

Anticipated Hiring Range

Salary Range: $59,322.00 - $96,761.60 annually

Grade: PAT - 009

University Title: REV INTEG ANALYST, UNI PHYS

Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

Application Materials

In addition to the Online Application, please provide Resume and cover letter.

Sponsorship Information

Employment visa sponsorship is not available for this position.

Benefit Eligibility

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package,

• medical
• dental and vision plans
• retirement
• paid time off
• short- and long-term disability
• paid parental leave
• paid caregiver leave
• educational fee discounts for all four UM System campuses

For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/departments-staff/human-resources/benefits-retirement

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.

To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.